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General NPI Number Information
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NPI Number | 1912048943
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Entity Type | Individual
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Provider Name | MARY ALICE ORITO LCSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 85 5TH AVE # 927
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City | NEW YORK
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State | NY
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Zip | 10003-3019
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Country | US
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Telephone | 917-549-8996
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Fax |
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Provider Business Mailing Address
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Address Line | 330 1ST AVE APT 3E
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City | NEW YORK
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State | NY
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Zip | 10009-1711
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Country | US
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Telephone | 212-260-9085
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5171
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R053501
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License Number State | NY
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